Individual
ALEXANDRA ADAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23501 CINEMA DR STE 200, VALENCIA, CA 91355-5430
(661) 288-4800
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-2925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
100763
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
11/25/2014
Last updated
08/03/2022
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